| NPI | 1336166776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD419700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 142414) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2022-07-21 |